Personal Statement

I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more

I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.

More about Dr. Veena Ganju Malla

Dr. Veena Ganju Malla is a renowned Gynaecologist in Bapa Nagar, Delhi. She is currently associated with Dr Veena Ganju Malla's Clinic in Bapa Nagar, Delhi. Don’t wait in a queue, book an instant appointment online with Dr. Veena Ganju Malla on Lybrate.com.

Lybrate.com has a number of highly qualified Gynaecologists in India. You will find Gynaecologists with more than 26 years of experience on Lybrate.com. Find the best Gynaecologists online in New Delhi. View the profile of medical specialists and their reviews from other patients to make an informed decision.

Hi,
If it is the first time you are doing ft4 and TSH it is a normal value.If you are already on thyroid replacement therapy to know whether the dosage is adequate it is done and during pregnancy it should be kept between 2 and 2.5.So that the dosage is increased accordingly. This is only for already hypothyroid patients where TSH was >5 and thyroid medication was started.
Regarding antibodies it is done if you are having hypothyroidism diagnosed with TSH and T4 level already to rule out auto immune cause.

It is important you eat a diet rich in fruits, vegetables and fibres and do regular exercise. Reduce all junk and oily foods .Reduce weight. Whether you need medicines after this will depend on the response to healthy lifestyle measures.
You can have plain Isaphgul at night in a glass of water to help with constipation.

These are normal things which happen in pregnancy just take good care of your diet and take sufficient rest and sleep do that you don't get tired but at the same time you must have an active daily routine.

Hi Suganthi, if you have low AMH then chances to conceive naturally will be very low about 5%at the age of 34.
It will be better then to try IVF with donor eggs.
I will suggest you to try with your own eggs for better result as compared to natural.

The optimum body mass index for asian females is 18 to 23. As southeast asians are genetically more susceptible to heart disease, it is rightly said that lower the waistline, more the lifeline.

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Shared 1 year ago • Featured Tip

While many people are fans of big boobs, the larger issue of feminized women, men and wildlife should be a wakeup call. Estrogen is blamed for everything from breast and prostate cancer and other hormone-linked conditions to obesity, sexual dysfunction, dropping sperm counts and depression and mood disorders. In studies of women given prescribed hormone drugs, estrogen was linked to lung cancer, ovarian cancer, skin cancer, gall bladder cancer, cataracts urinary incontinence and joint degeneration.

Most of us know we unwittingly get synthetic estrogens (endocrine disrupters) from plastics like BPA, petroleum based products, detergents, cosmetics, furniture, carpeting, thermal receipts and on our food from agriculture chemicals like pesticides, herbicides and fungicides (a good reason to buy organic). But we also get a lot of "natural" estrogens from foods we may eat every day. While these "phytoestrogens" are not as bad as synthetic chemicals, women who are plagued with PMS, fibrocystic disease and water retention, or who are at risk for breast cancer and men who do not want to be feminized may want to use them moderately.

Here are some "good" and "bad" foods that have more estrogen than you may realize?or want.

1. Flax

Flax and especially flax meal has the image of being a healthy superfood. But when you look at a list of the top phytoestrogen-containing foods, flax and flax products are at the very top. A hundred grams of flax packs an astounding 379,380 micrograms of estrogen compared with 2.9 micrograms for a fruit like watermelon. Flax is now widely found in baked goods like bread, bagels and muffins, snack foods, cereals, pasta, drink mixes and used in poultry, swine, beef and dairy cow feed.

It became a popular alternative to fish oil which had been promoted to improve mood, the immune systems and to prevent heart attacks and strokes, especially as concerns about mercury risks in some fish surfaced. A tablespoon of flaxseed oil, which contains alpha-linolenic acid (also found in walnuts and some oils) is "worth" about 700 milligrams of the omega-3 found in fish oil says the Harvard Medical School Family Health Guide. Flax also provides fiber, a substance lacking in our over-processed diets. But there is another reason it may not be the superfood it appears besides its estrogen wallop. Like so many edible plants today, genetically modified versions of flax are rampant, spreading and rarely labeled. Buyer beware.

2. Soy

What is the second highest phytoestrogen-containing food in most lists? Soy, which packs 103,920 micrograms of estrogen per 100 grams. Low in calories and with no cholesterol, soy has been a mainstay protein of many cultures for centuries and is considered nature's perfect alternative to meat by many vegetarians and vegans. It has been hailed as a "good" estrogen that could prevent breast cancer and serve as an alternative for hormone replacement therapy, traditionally made from pregnant mare urine.

Yet the bloom has partially fallen off soy's rose. Its possible cancer prevention properties were called into question after some animal studies and groups like the American Cancer Society found themselves defending its moderate use. Like flax, unlabeled GMO soybeans dominate the market and have been linked to sterility and infant death in hamsters.

3. Other Legumes and Common Health Foods

Other "healthy" foods like flax and soy may have more estrogen than you think. Legumes like chickpeas (garbanzo beans) red beans, black-eyed peas, green peas and split peas are also estrogenic and black beans pack 5,330 micrograms of estrogen per 100 grams. Hummus (from chickpeas) has 993 micrograms of estrogen per 100 grams. How about the "healthful" seeds we think of as mingled in trailmix? Sesame and sunflower seeds are among the highest of all estrogenic foods. While their seeds are not a staple of most people's diets, their oils are widely used in processed and prepared foods. A site for women suffering from the estrogen-linked endometriosis advises against sunflower oil as well as safflower, cottonseed and canola oils and recommends only olive or grapeseed oil.

Other ingredients that can amount to a side dish of estrogen are alfalfa sprouts, licorice and the flavorings red clover and fennel, sometimes found in teas. Food ingredients in personal care products can also have estrogenic effects. Tea tree oil found in some shampoos, soaps and lotions can enlarge the breasts of boys reported ABC news. And sore and tender breasts have also been reported from using a shampoo with pomegranate.

4. Animal Products

On most lists of products containing estrogen, animal products like milk and beef are at the very bottom. Milk, for example, is said to provide 1.2 micrograms of estrogen per 100 grams. Unfortunately, most "research" that assures the public that hormones used in meat production or milk production (like Monsanto's rBGH) result in less estrogen are funded by Big Ag. Two features betray the Big Ag-funded research ?it claims there is no difference between hormones that occur "naturally" in the human body and synthetic hormones, and it claims there are no residues of the latter. If synthetic hormones are so safe, why would we mind residues? The European Union disagrees about the dangers and boycotts US beef, which is swimming in the hormones oestradiol-17, trenbolone acetate, zeranol and melengestrol.

As for "no residues" a scientific paper called "Detection of Six Zeranol Residues in Animal-derived Food by HPLC-MS/MS" disputes the claim. Zeranol, an estrogen-like drug widely used in US livestock production is especially controversial. "Our laboratory has reported that long-term exposure to either Z [zeranol] or E2 [estradiol-17?] can induce transformation of human breast epithelial MCF-10A cells" says a 2009 paper in Anticancer Research.Translation: it can contribute to breast cancer: "The proper evaluation of the safety of Z [zeranol] is of both public health and economic importance"Another paper reports "breast irritation" in people exposed to nothing but the clothing of those working around zeranol. This is an ingredient used in US meat?

A paper which appeared in Science of the Total Environment examines the outbreak of precocious puberty and breast development of children in Italy and Puerto Rico in the late 1970s and 1980s and attributes the symptoms to zeranol-like "anabolic estrogens in animal foods" In both occurrences, the symptoms disappeared when the hormone-laced food was removed. Zeranol is found in meat, eggs and dairy products "through deliberate introduction of zeranol into livestock to enhance meat production" says the paper. It is "banned for use in animal husbandry in the European Union and other countries, but is still widely used in the US. Surprisingly, little is known about the health effects of these mycoestrogens, including their impact on puberty in girls, a period highly sensitive to estrogenic stimulation"">

It is no secret that our bodies and our environment are swimming in estrogen. Puberty is occurring as early as eight years old in children and recently babies in China have developed breasts. Frogs and fish are becoming "intersex" and losing their male characteristics from excreted estrogens in the environment and waterways. In England, the Daily Mail ran a feature on the phenomenon of women's bra cup sizes increasing independent of their weights, likely because of environmental and livestock chemicals. The website Green Prophet speculated that women in the Middle East are not yet experiencing cup inflation because their environments have not become similarly estrogenized.

While many people are fans of big boobs, the larger issue of feminized women, men and wildlife should be a wakeup call. Estrogen is blamed for everything from breast and prostate cancer and other hormone-linked conditions to obesity, sexual dysfunction, dropping sperm counts and depression and mood disorders. In studies of women given prescribed hormone drugs, estrogen was linked to lung cancer, ovarian cancer, skin cancer, gall bladder cancer, cataracts urinary incontinence and joint degeneration.

Most of us know we unwittingly get synthetic estrogens (endocrine disrupters) from plastics like BPA, petroleum based products, detergents, cosmetics, furniture, carpeting, thermal receipts and on our food from agriculture chemicals like pesticides, herbicides and fungicides (a good reason to buy organic). But we also get a lot of "natural" estrogens from foods we may eat every day. While these "phytoestrogens" are not as bad as synthetic chemicals, women who are plagued with PMS, fibrocystic disease and water retention, or who are at risk for breast cancer and men who do not want to be feminized may want to use them moderately.

Here are some "good" and "bad" foods that have more estrogen than you may realize?or want.

1. Flax

Flax and especially flax meal has the image of being a healthy superfood. But when you look at a list of the top phytoestrogen-containing foods, flax and flax products are at the very top. A hundred grams of flax packs an astounding 379,380 micrograms of estrogen compared with 2.9 micrograms for a fruit like watermelon. Flax is now widely found in baked goods like bread, bagels and muffins, snack foods, cereals, pasta, drink mixes and used in poultry, swine, beef and dairy cow feed.

It became a popular alternative to fish oil which had been promoted to improve mood, the immune systems and to prevent heart attacks and strokes, especially as concerns about mercury risks in some fish surfaced. A tablespoon of flaxseed oil, which contains alpha-linolenic acid (also found in walnuts and some oils) is "worth" about 700 milligrams of the omega-3 found in fish oil says the Harvard Medical School Family Health Guide. Flax also provides fiber, a substance lacking in our over-processed diets. But there is another reason it may not be the superfood it appears besides its estrogen wallop. Like so many edible plants today, genetically modified versions of flax are rampant, spreading and rarely labeled. Buyer beware.

2. Soy

What is the second highest phytoestrogen-containing food in most lists? Soy, which packs 103,920 micrograms of estrogen per 100 grams. Low in calories and with no cholesterol, soy has been a mainstay protein of many cultures for centuries and is considered nature's perfect alternative to meat by many vegetarians and vegans. It has been hailed as a "good" estrogen that could prevent breast cancer and serve as an alternative for hormone replacement therapy, traditionally made from pregnant mare urine.

Yet the bloom has partially fallen off soy's rose. Its possible cancer prevention properties were called into question after some animal studies and groups like the American Cancer Society found themselves defending its moderate use. Like flax, unlabeled GMO soybeans dominate the market and have been linked to sterility and infant death in hamsters.

3. Other Legumes and Common Health Foods

Other "healthy" foods like flax and soy may have more estrogen than you think. Legumes like chickpeas (garbanzo beans) red beans, black-eyed peas, green peas and split peas are also estrogenic and black beans pack 5,330 micrograms of estrogen per 100 grams. Hummus (from chickpeas) has 993 micrograms of estrogen per 100 grams. How about the "healthful" seeds we think of as mingled in trailmix? Sesame and sunflower seeds are among the highest of all estrogenic foods. While their seeds are not a staple of most people's diets, their oils are widely used in processed and prepared foods. A site for women suffering from the estrogen-linked endometriosis advises against sunflower oil as well as safflower, cottonseed and canola oils and recommends only olive or grapeseed oil.

Other ingredients that can amount to a side dish of estrogen are alfalfa sprouts, licorice and the flavorings red clover and fennel, sometimes found in teas. Food ingredients in personal care products can also have estrogenic effects. Tea tree oil found in some shampoos, soaps and lotions can enlarge the breasts of boys reported ABC news. And sore and tender breasts have also been reported from using a shampoo with pomegranate.

4. Animal Products

On most lists of products containing estrogen, animal products like milk and beef are at the very bottom. Milk, for example, is said to provide 1.2 micrograms of estrogen per 100 grams. Unfortunately, most "research" that assures the public that hormones used in meat production or milk production (like Monsanto's rBGH) result in less estrogen are funded by Big Ag. Two features betray the Big Ag-funded research ?it claims there is no difference between hormones that occur "naturally" in the human body and synthetic hormones, and it claims there are no residues of the latter. If synthetic hormones are so safe, why would we mind residues? The European Union disagrees about the dangers and boycotts US beef, which is swimming in the hormones oestradiol-17, trenbolone acetate, zeranol and melengestrol.

As for "no residues" a scientific paper called "Detection of Six Zeranol Residues in Animal-derived Food by HPLC-MS/MS" disputes the claim. Zeranol, an estrogen-like drug widely used in US livestock production is especially controversial. "Our laboratory has reported that long-term exposure to either Z [zeranol] or E2 [estradiol-17?] can induce transformation of human breast epithelial MCF-10A cells" says a 2009 paper in Anticancer Research.Translation: it can contribute to breast cancer: "The proper evaluation of the safety of Z [zeranol] is of both public health and economic importance"Another paper reports "breast irritation" in people exposed to nothing but the clothing of those working around zeranol. This is an ingredient used in US meat?

A paper which appeared in Science of the Total Environment examines the outbreak of precocious puberty and breast development of children in Italy and Puerto Rico in the late 1970s and 1980s and attributes the symptoms to zeranol-like "anabolic estrogens in animal foods" In both occurrences, the symptoms disappeared when the hormone-laced food was removed. Zeranol is found in meat, eggs and dairy products "through deliberate introduction of zeranol into livestock to enhance meat production" says the paper. It is "banned for use in animal husbandry in the European Union and other countries, but is still widely used in the US. Surprisingly, little is known about the health effects of these mycoestrogens, including their impact on puberty in girls, a period highly sensitive to estrogenic stimulation"

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While many people are fans of big boobs, the larger issue of feminized women, men and wildlife should be a wakeup call. Estrogen is blamed for everything from breast and prostate cancer and other hormone-linked conditions to obesity, sexual dysfunction, dropping sperm counts and depression and mood disorders. In studies of women given prescribed hormone drugs, estrogen was linked to lung cancer, ovarian cancer, skin cancer, gall bladder cancer, cataracts urinary incontinence and joint degeneration.

Most of us know we unwittingly get synthetic estrogens (endocrine disrupters) from plastics like BPA, petroleum based products, detergents, cosmetics, furniture, carpeting, thermal receipts and on our food from agriculture chemicals like pesticides, herbicides and fungicides (a good reason to buy organic). But we also get a lot of "natural" estrogens from foods we may eat every day. While these "phytoestrogens" are not as bad as synthetic chemicals, women who are plagued with PMS, fibrocystic disease and water retention, or who are at risk for breast cancer and men who do not want to be feminized may want to use them moderately.

Here are some "good" and "bad" foods that have more estrogen than you may realize?or want.

1. Flax

Flax and especially flax meal has the image of being a healthy superfood. But when you look at a list of the top phytoestrogen-containing foods, flax and flax products are at the very top. A hundred grams of flax packs an astounding 379,380 micrograms of estrogen compared with 2.9 micrograms for a fruit like watermelon. Flax is now widely found in baked goods like bread, bagels and muffins, snack foods, cereals, pasta, drink mixes and used in poultry, swine, beef and dairy cow feed.

It became a popular alternative to fish oil which had been promoted to improve mood, the immune systems and to prevent heart attacks and strokes, especially as concerns about mercury risks in some fish surfaced. A tablespoon of flaxseed oil, which contains alpha-linolenic acid (also found in walnuts and some oils) is "worth" about 700 milligrams of the omega-3 found in fish oil says the Harvard Medical School Family Health Guide. Flax also provides fiber, a substance lacking in our over-processed diets. But there is another reason it may not be the superfood it appears besides its estrogen wallop. Like so many edible plants today, genetically modified versions of flax are rampant, spreading and rarely labeled. Buyer beware.

2. Soy

What is the second highest phytoestrogen-containing food in most lists? Soy, which packs 103,920 micrograms of estrogen per 100 grams. Low in calories and with no cholesterol, soy has been a mainstay protein of many cultures for centuries and is considered nature's perfect alternative to meat by many vegetarians and vegans. It has been hailed as a "good" estrogen that could prevent breast cancer and serve as an alternative for hormone replacement therapy, traditionally made from pregnant mare urine.

Yet the bloom has partially fallen off soy's rose. Its possible cancer prevention properties were called into question after some animal studies and groups like the American Cancer Society found themselves defending its moderate use. Like flax, unlabeled GMO soybeans dominate the market and have been linked to sterility and infant death in hamsters.

3. Other Legumes and Common Health Foods

Other "healthy" foods like flax and soy may have more estrogen than you think. Legumes like chickpeas (garbanzo beans) red beans, black-eyed peas, green peas and split peas are also estrogenic and black beans pack 5,330 micrograms of estrogen per 100 grams. Hummus (from chickpeas) has 993 micrograms of estrogen per 100 grams. How about the "healthful" seeds we think of as mingled in trailmix? Sesame and sunflower seeds are among the highest of all estrogenic foods. While their seeds are not a staple of most people's diets, their oils are widely used in processed and prepared foods. A site for women suffering from the estrogen-linked endometriosis advises against sunflower oil as well as safflower, cottonseed and canola oils and recommends only olive or grapeseed oil.

Other ingredients that can amount to a side dish of estrogen are alfalfa sprouts, licorice and the flavorings red clover and fennel, sometimes found in teas. Food ingredients in personal care products can also have estrogenic effects. Tea tree oil found in some shampoos, soaps and lotions can enlarge the breasts of boys reported ABC news. And sore and tender breasts have also been reported from using a shampoo with pomegranate.

4. Animal Products

On most lists of products containing estrogen, animal products like milk and beef are at the very bottom. Milk, for example, is said to provide 1.2 micrograms of estrogen per 100 grams. Unfortunately, most "research" that assures the public that hormones used in meat production or milk production (like Monsanto's rBGH) result in less estrogen are funded by Big Ag. Two features betray the Big Ag-funded research ?it claims there is no difference between hormones that occur "naturally" in the human body and synthetic hormones, and it claims there are no residues of the latter. If synthetic hormones are so safe, why would we mind residues? The European Union disagrees about the dangers and boycotts US beef, which is swimming in the hormones oestradiol-17, trenbolone acetate, zeranol and melengestrol.

As for "no residues" a scientific paper called "Detection of Six Zeranol Residues in Animal-derived Food by HPLC-MS/MS" disputes the claim. Zeranol, an estrogen-like drug widely used in US livestock production is especially controversial. "Our laboratory has reported that long-term exposure to either Z [zeranol] or E2 [estradiol-17?] can induce transformation of human breast epithelial MCF-10A cells" says a 2009 paper in Anticancer Research.Translation: it can contribute to breast cancer: "The proper evaluation of the safety of Z [zeranol] is of both public health and economic importance"Another paper reports "breast irritation" in people exposed to nothing but the clothing of those working around zeranol. This is an ingredient used in US meat?

A paper which appeared in Science of the Total Environment examines the outbreak of precocious puberty and breast development of children in Italy and Puerto Rico in the late 1970s and 1980s and attributes the symptoms to zeranol-like "anabolic estrogens in animal foods" In both occurrences, the symptoms disappeared when the hormone-laced food was removed. Zeranol is found in meat, eggs and dairy products "through deliberate introduction of zeranol into livestock to enhance meat production" says the paper. It is "banned for use in animal husbandry in the European Union and other countries, but is still widely used in the US. Surprisingly, little is known about the health effects of these mycoestrogens, including their impact on puberty in girls, a period highly sensitive to estrogenic stimulation"">

People who regularly work out can go on about its benefits and also show off a toned physique. However, a bad or improper movement can be more harmful than no exercise at all. Read on to know some common exercise moves that are best avoided for their potential harmful effects.

Dumbbell punches: By holding dumbbells and punching them forward into the air, you are just spending your energy with absolutely no return from it. It is good as a conditioning one if done for a long time, but does not help the shoulders or the arms. Bicep curls and triceps extensions yield much better results than these punches.

Shoulder Shrugs: The only muscle that gets worked here is the trapezius, which is at the top of the shoulders and the neck. The arms and the back do not get any benefit and shoulder shrugs can actually cause postural problems and increase shoulder tension. Best avoided if you are not a professional bodybuilder.

Thigh machines: One of the most ineffective machines in the gym, the poor posture and no workout for the abs is one of the reasons the outer and inner thigh workouts should be avoided. Better results can be achieved with squats and lunges, which also help more muscles and help in losing weight.

Plank rows: While plank rows or board lines work very well for core strengthening, it is not as effective for back and arm strengthening. Better results are achieved with the usual lines for these areas.

Lat pull-downs behind the neck: This can be very harmful for people who have even minor shoulder joint problems. The idea is to build arm, torso, and back muscles by pulling a weighted bar down the front and back of the chest area. This can cause misalignment, shoulder impingement, or a tear in the rotator cuff, and in severe cases, even cervical vertebral fracture.

Military Presses Behind the Head: Similar to a lat pull-down, here also, a barbell is lifted up and down behind the head and can cause the same problems as the earlier one, including fracture of the cervical spine.

Squatting on a bosu ball: These colorful equipment are very alluring but can be really dangerous and can cause ankles and knees to be injured, causing meniscal tears or disruptions.

Crunches: When improperly done, crunches produce the same position as one achieves while working on the computer - head forward and rounded shoulder. Crunches are meant to be done by pulling up on the head and not using the abs, as most people incorrectly do.

Make sure you get a trainer's advice on the right ways to work out so as to get the maximum benefits and avoid injuries.

Hello lybrate-user,
there could be chances of urinary tract infection. Drink plenty of fluids. Take 1tsp of amla powder and 1/2 tsp of turmeric powder boil it in a glass of water and reduce it to half, cool it and take 3-4 times a day. Seek medical attention if symptoms persists for more than 2 days.

The most fertile time of a cycle is midcycle if a woman has regular 28-30 days cycles. However breakthrough ovulation can occur hence sex at any time of the cycle is not 100% safe in preventing an unwanted pregnancy.

bleeding may be due to hormone imbalance that interferes with normal ovulation and can cause abnormal bleeding or may be due to Medicines, such as birth control pills, sometimes cause abnormal vaginal bleeding.get an ultrasound of lower abdomen and thyroid test done to rule out cause.visit to to doctor for further medicinal treatment.

Never eat if you are not feeling hungry (exceptions in case of health/mind concerns), this is a solid cardinal mantra in monsoons. Doing so results in indigestion problems and illness. So, here are some specific guidelines regarding what to eat and what not to eat during rains.

Nutritional tips in monsoon:

The damp and filthy conditions in monsoon plays a host for many disease causing germs, which cause some serious health attacks like dengue, malaria, conjunctivitis, typhoid, viral fever, pneumonia, gastro intestinal disturbances, diarrhea and dysentery. If your immune system is weak you are supposed to catch these diseases instantly. To maintain healthy diet and protect you from such ill causes during the rainy season these countermeasures have to be taken.

-eat fruits as they help you restore energy. Apples, mangoes, pomegranates, and pears are best suggestible. -avoid watermelon and muskmelons and also goosing on too many mangoes may cause pimples.-have medium to low salt food and avoid heavy salty food as they are responsible for high blood pressure and water retention.-eating watery foods like lassi, watermelon, rice, muskmelon creates swelling in the body. So, better opt for foods which are drying in nature like corn, gram flour, chick pea etc.-foods such as brown rice, oats, and barley are the best foods one could have in this monsoon.-body's immunity can be increased by adding a dash of garlic to the soups, sir fries and curries you intake. Opt for yogurt, curd and almonds in your diet instead of milk. -drink only boiled and purified water to protect yourself from harmful germs and drinking plenty of water keeps your body hydrated.-vegetables like cauliflower, potatoes, cluster beans, ladies finger, kidney beans, pigeon pea, and sprouted grains must be avoided. -eat steamed salads instead of raw vegetables as they contain active bacteria and virus that cause bacterial and viral infections.-have fresh radish juice to fight cold and cough. To reduce mucous formations add pipli and rock salt to warm water. This reduces the natural monsoon ailments. Better eat seasonal fruits as non- seasonal fruits get infested with worms during the monsoons. Pomegranates, lychees, apples, bananas are among the recommended.-avoid eating fried items, pre-cut fruits and juices from road side vendors and stick to high quality and hygiene.-always wash vegetables well and keep them clean especially if they are taken raw.

Hi lybrate-user, kidney stones and white discharge are not related. Please visit gynaecologist for internal examination to rule out infection. As you are getting recurrent infections please get it diagnosed what type of infection it is so that it can be treated.